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The Trump Administration’s Latest Expansion of the Mexico City Policy: A Funding Analysis

On Friday, January 23, 2026, the Trump administration released the latest expansion of the Mexico City Policy (MCP). The controversial policy, which had restricted foreign non-governmental organizations (NGOs) from performing or promoting abortion as a method of family planning as a condition of receiving most U.S. global health aid, has been broadened significantly to include more organizations (not just foreign NGOs) and most U.S. foreign aid. Also, the policy now prohibits activities related to diversity, equity, and inclusion (DEI) as well as support for gender-affirming care and services, and legal protections based on gender identity (among other activities). This move marks the most significant expansion of the MCP in more than 40 years — extending its reach far beyond the policy’s expansion during Trump’s first term.

This analysis assesses the potential reach of the latest expansion of the Mexico City Policy, which is now part of the Promoting Human Flourishing in Foreign Assistance (PHFFA) Policy.

The Mexico City Policy: An Explainer

Questions for the America First Global Health Strategy

Global Health Budget Summaries

Overview of President Trump’s Executive Actions on Global Health

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Global Health Aid Cuts

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This collection of resources chronicles what recent Trump administration global health aid cuts mean for the future of global health programs and the people who rely on them.

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The U.S. Government and Global Health

In this Health Policy 101 chapter, investigate the U.S. role in global health, including the major initiatives the United States supports, funding levels, and agencies involved in implementing program area efforts.

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Global Health Trackers

U.S. Global Health Budget Tracker

This tracker provides regularly updated information on U.S. government funding for global health. It includes historical trends and tracks funding levels for U.S. global health efforts through bilateral and multilateral contributions and by program area and agency.

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  • U.S. Funding for International Family Planning & Reproductive Health

    Issue Brief

    The U.S. government has supported international family planning and reproductive health (FP/RH) efforts for 50 years and is one of the largest donors to FP/RH in the world. This brief provides an overview of U.S. funding for FP/RH, including trends in bilateral and multilateral funding and top country recipients of U.S. funding, and places the U.S. within the larger context of overall donor support for the sector.

  • U.S. Funding for International Nutrition Programs

    Issue Brief

    The U.S. government has a long history of supporting global efforts to improve nutrition and is the largest donor to nutrition efforts in the world. This brief provides an overview of U.S. support for nutrition, including trends in funding and top country recipients and places the U.S. within the larger context of overall donor support for the sector.

  • Obamacare? Zika? Which Health Stories Americans Actually Follow

    News Release

    In his latest column for The Wall Street Journal's Think Tank, Drew Altman analyzes the Kaiser Health Policy News Index to determine which health stories in the news have broken through to the public the most in the last year. One conclusion: It wasn't the Affordable Care Act.

  • Mapping the Donor Landscape in Global Health: Tuberculosis

    Report

    This report maps the network of international assistance aimed at addressing the global impact of tuberculosis (TB). The report is part of a series that examines the donor nations and multilateral organizations involved in addressing different global health challenges in recipient countries worldwide.

  • Mapping the Donor Landscape in Global Health: Malaria

    Report

    This report maps the network of international assistance aimed at addressing the global impact of malaria. The report is part of a series that examines the donor nations and multilateral organizations involved in addressing different global health challenges in recipient countries worldwide.

  • Getting to Zero: Saving Children’s Lives with Vaccines

    Event Date:
    Event

    As one of the cornerstones of global health, widespread immunization through vaccines is critical to reducing child mortality and eradicating polio, two goals endorsed by the international community and particularly emphasized by the U.S. government. This live, interactive webcast explores the importance of vaccines in global child survival efforts, including the role of the U.S. government, the GAVI Alliance, and NGOs. Panelists discuss the current state of childhood immunization, global investments in vaccines, and the opportunities and challenges faced by key stakeholders. This webcast is part of "U.S. Global Health Policy: In Focus", a Kaiser Family Foundation studio webcast series devoted to discussing current and critical issues facing the U.S.